Reporting Requirement for CR 7717
Change Request 7717 states that CMS is discontinuing the requirement for Skilled Nursing Facility (“SNF”) and Swing Bed (“SB”) providers to report Occurrence Code 16 to indicate the last day of therapy services. This change is effective with the release of Change Request 7717.
The skilled nursing facility (“SNF”) Open Door Forum reviewed various billing issues included in Change Request 7339 that were implemented on August 1, 2011. Previous guidance was to … Place the "End of Therapy" date in the Occurrence Code 16 field which is the day after all disciplines are complete.
Occurrence Code 16 is used only when an End of Therapy (“EOT”) OMRA is completed. The EOT OMRA is done the day after the last therapy has ended. The MDS coordinator has 3 days to complete the EOT OMRA but Occurrence Code 16 would indicate the actual last date of a therapy RUG’s level. This reporting requirement has now been discontinued. Additional Information
Our Director of Clinical Services monitors these issues closely for our clients. We work closely with our clients on how to best address these types of billing and compliance issues. CarePoint therapy management software works with more than 30 SNF billing and MDS software systems. The official instruction, CR 7717, issued to your FI or A/B MAC regarding this change may be viewed by clicking on the image above.
Contact your FI or A/B MAC at their toll-free number with any questions, which may be found at http://www.cms.gov/MLNProducts/downloads/CallCenterTollNumDirectory.zip
on the CMS website.